A qualitative study exploring issues related to medication management in residential aged care facilities

Nizaruddin, Mariani Ahmad; Omar, Marhanis-Salihah; Mhd-Ali, Adliah; Makmor‐Bakry, Mohd

doi:10.2147/ppa.s144513

Cited by 8 publications

(6 citation statements)

References 10 publications

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“…Nurses in this study also reported that a lack of sufficient training and clear job description greatly affect their MAP. This was consistent with a study finding conducted in Malaysia (26). The consistency may be due to the fact that lack of training and job description among different settings may lead to unclear role and responsibility among health care providers (16).…”

Section: There Is No Training On Medication Administration In Our Hospitalsupporting

confidence: 91%

Unsafe medication administration experience in nursing practice at Public Hospitals of Harari region, eastern Ethiopia: Phenomenological Study.

Fekadu

Oljira

Geda

et al. 2020

Preprint

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Background: The unsafe medication administration is one of the most medication related problems which causes harm and death to the patients and threatens the healthcare system. Given medication administration is predominantly the role of nurses. This study was aimed to explore the nurse’s experience of unsafe medication administration at public hospitals in Harari region, eastern Ethiopia. Methods: A phenomenological study design was conducted and the data were collected from 11 nurses from March 1 to March 31, 2019. The tape recorder and note taking was used to collect the data by in-depth interviews and key informant interviews. Open code software version 3.4 was used to write memos, coding and categorizing under their inductive thematic areas. Thematic analysis method were used.Result: The study had explored nurse’s experience and contributing factors for unsafe medication administration. Nurses have reported that they have ever experienced unsafe medication administration like, wrong time, medication, patient and self-stick injury during their practice. i) Organizational factors: inadequate resource, lack of clear policy and job description, lack of supervision and poor collaboration among staffs. The identified themes were, ii) Precondition challenges: expensive medication, frequently changed and too much prescription for a single patient, new medications with limited information. iii) Individual nurses factor: work absenteeism, lack of training and knowledge gap.Conclusion: The organizational culture, precondition challenges and individual nurse’s factors was found to be a major factors linked to unsafe medication administration practice. So tailored intervention is needed to reduce the unsafe medication administration in nursing practice.

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Section: There Is No Training On Medication Administration In Our Hospitalsupporting

confidence: 91%

Unsafe medication administration experience in nursing practice at Public Hospitals of Harari region, eastern Ethiopia: Phenomenological Study.

Fekadu

Oljira

Geda

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Nurses in this study also reported that a lack of sufficient training and clear job description greatly affect their medication administration practice. This was consistent with a study finding conducted in Malaysia (26). The consistency may be due to the fact that lack of training and job description among different settings may lead to unclear role and responsibility among health care providers (16).…”

Section: There Is No Training On Medication Administration In Our Hossupporting

confidence: 91%

“…It was reported that a similar medication was crossed many chains of errors from regional drug store-hospital drug store to dispenser to medication administering nurses. This finding was supported by the study conducted in Malaysia (26).…”

Section: There Is No Training On Medication Administration In Our Hossupporting

confidence: 77%

“…This finding is supported by study conducted in England (17). Accordingly, being a novice nurse (34), lack of training (26), poor communication among nurses (14,20), memory lapses due to work overload (20,35) and nurses personal motivation(34) were personal factors affect medication administration practice.…”

Section: There Is No Training On Medication Administration In Our Hosmentioning

confidence: 72%

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Unsafe medication administration experience in nursing practice at Public Hospitals of Harari region, eastern Ethiopia: Phenomenological Study

Fekadu

Oljira

Geda

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: The unsafe medication administration is one of the most medication related problems which causes harm and death to the patients and threatens the healthcare system. Medication administration is predominantly the role of nurses. This study was aimed to explore the nurse’s experience of unsafe medication administration at public hospitals in Harari region, eastern Ethiopia. Methods: A phenomenological study design was conducted. The data were collected among 11 nurses from March 1 to 31, 2019. The tape recorder and note taking was used to collect the data by in-depth interview and key informant interview method. Open code software version 3.4 was used to write memos, coding and categorizing under their inductive thematic areas. Thematic analysis method were used. Result: The study had explored nurse’s experience of unsafe medication administration. Nurses have reported that they have ever experienced unsafe medication administration like, wrong time, medication, patient and self-stick injury during their practice. i) Organizational factors: inadequate resource, lack of clear policy and job description, lack of supervision and poor collaboration among staffs. ii) Precondition challenges: expensive medication, frequently changed and too much prescription for a single patient, new medications with limited information. iii) Individual nurses factors: work absenteeism, lack of training and knowledge gap.Conclusion: The organizational culture, precondition challenges and individual nurse’s factors was found to be a major factors linked to unsafe medication administration practice. So tailored intervention is needed to reduce the unsafe medication administration in nursing practice.

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“…Older people with sensory impairment have reduced ability to manage medications and to achieve medication adherence compared with older people without sensory impairment, 16 , 17 While there is a growing body of literature that focuses on medicine management of older people, most of this work has focused on nursing home residents 18, 19, 20. A recent scoping review revealed a paucity of research in this area 21 …”

mentioning

confidence: 99%

“We're really not ready for this”: A qualitative exploration of community pharmacy personnel's perspectives on the pharmaceutical care of older people with sensory impairment

Alhusein

Killick

Macaden

et al. 2019

Disability and Health Journal

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Background In most developed countries there is an increasing ageing population living in the community with long-term conditions and sensory impairment (sight; hearing; dual impairment). Community pharmacy personnel are key providers of pharmaceutical care to this patient population. Objective This study explored community pharmacy personnel's experiences with providing pharmaceutical care for older people with sensory impairment. Methods Semi-structured telephone interviews were conducted with community pharmacy personnel across Scotland between 2015 and 2016. Results Thirty interviews were completed with community pharmacists (n = 17) and other pharmacy personnel (n = 13). Two overarching themes emerged: safety and communication. Interviewees reported patients' reluctance to disclose their impairment “patients are very good at hiding it” and had considerable safety concerns “ it's a fear that they're going to take too much … accidentally taking the same medicine twice ”. Difficulties in communication were cited “ no matter what you do or how you label things, leaflets and telling people, things can go wrong ”. Additionally, interviewees identified training needs to increase their disability awareness and to identify strategies to provide safe and reliable pharmaceutical care to this vulnerable group “We don't specifically have anything in place to deal with anyone with impairments of that kind”. Conclusions This is the first in-depth exploration of providing pharmaceutical care to older people with sensory impairment from the perspective of community pharmacy personnel. Strategies are needed to encourage older people to disclose their sensory impairment. Education and training are also needed to optimise the provision of pharmaceutical care to this vulnerable population.

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A qualitative study exploring issues related to medication management in residential aged care facilities

Cited by 8 publications

References 10 publications

Unsafe medication administration experience in nursing practice at Public Hospitals of Harari region, eastern Ethiopia: Phenomenological Study.

Unsafe medication administration experience in nursing practice at Public Hospitals of Harari region, eastern Ethiopia: Phenomenological Study.

Unsafe medication administration experience in nursing practice at Public Hospitals of Harari region, eastern Ethiopia: Phenomenological Study

“We're really not ready for this”: A qualitative exploration of community pharmacy personnel's perspectives on the pharmaceutical care of older people with sensory impairment

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